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Telemedicine in neurology, or teleneurology, was first introduced in the 1990s for the treatment of Parkinson disease [1]. Over time, it has developed into other uses, such as allowing patients to gain fast access to stroke specialists to facilitate acute treatments [2,3]. Despite hesitance to adopt teleneurology due to concerns about reimbursement, privacy, and connecting with patients, the COVID-19 pandemic has forced health care providers to adapt and continue providing quality care for patients.
JMIR Form Res 2024;8:e53491
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Accordingly, numerous subspecialty-oriented teleneurology examination guides have been developed since the onset of the COVID-19 pandemic, which are now available through multiple web sources, including professional society web pages [34].
These guides emphasize examination elements that differ according to subspecialty.
JMIR Neurotech 2024;3:e46736
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Certified Examination Assistants in the Age of Telemedicine: A Blueprint Through Neurology
Initial applications of teleneurology included acute stroke care with validation of the National Institute of Health Stroke Scale performed remotely. General neurological examination via teleneurology research is ongoing to assess the reproducibility and reliability of remote neurological examination compared to in-person examinations.
JMIR Med Educ 2021;7(4):e28335
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Patient Care During the COVID-19 Pandemic: Use of Virtual Care
teleneurology
J Med Internet Res 2021;23(1):e20621
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Rapid Implementation of Video Visits in Neurology During COVID-19: Mixed Methods Evaluation
For instance, the department has organized teleneurology professional development webinars on optimal virtual physical examination techniques [23,45], and guidance documents on this topic have also been developed internally. Together with time and experience, these efforts may further increase clinician comfort with the virtual physical examination.
Clinicians were keen about the ability to work remotely, reduction in uncompensated work, and flexible scheduling facilitated by video visit use.
J Med Internet Res 2020;22(12):e24328
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